Effectineness of early active mobilization in zone two after flexor tendon repair |
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EN KeyWords: active mobilization flexor tendon repair zone two rehabilitation |
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EN Abstract: |
Objective:To prospectively study the role of active mobilization following flexor tendon repair in the zone two.Method:Two different rehabilitation programs were used in the 41 patients who had been subjected to primary repair in the zone 2 of flexor tendon.In 20 patients of observation group (46 digits),the early active mobilization program was used from the 3rd day post-operation.In the remaining 21 patients of control group (48 digits),the immobilization program that had a three week-immobilization period was used.The anatomic improvement was assessed by total active motion (TAM) scoring system of the American Society for Surgery of the Hand.And the functional outcome of the fingers was assessed using the upper extremity functional index (UEFI).Results:After the treatment for 12 weeks,according to the TAM score and UEFI,the anatomic improvement and functional outcome in observation group was significantly better than in control group (P<0.01).The residual extension deficit rate of the fingers in observation group was significantly lower than in control group (P<0.01).Conclusion:Preliminary results of this study showed that active mobilization following flexor tendon repair in the zone two provides comparable clinical results and is as safe as immobilization program. |
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